DoctorTro Profile picture
Sep 26, 2020 12 tweets 4 min read Read on X
🚨 THREAD ON COVID (it’s going to get ugly) 🚨

•no politics 🙏
•no crazies 🙏

Today I watched segments of an interview with a prominent immunologist (name rhymes with ouchy)

This scientist said he doesn’t believe in T-cell immunity for the novel coronavirus

1/11
Now, I’m certainly no expert in immunology but I decided to educate myself

I started here and here

bmj.com/content/370/bm…

nature.com/articles/s4158…

I also read these key citations below on T cell immunity

2/11 Image
How can a prominent immunologist not consider this early body of research? So I thought about potential roadblocks to accepting new data... a process called anchoring bias

This is a bias that’s created when you commit to an outcome & don’t assimilate new info as it arises

3/11
initially I was accepting of lockdown but as evidence presented itself I changed my tune... specifically I started to change my tune after no uptick in NYC after 2 weeks of Floyd protests

4/11 Image
I became even more questioning after we understood what exactly happened with the fraud regarding surgisphere which lead to several retractions from major journals and the errors in dosage admitted by principal investigator regarding the recovery trial dosage of HCQ...

5/11 Image
I became even more questioning then even moreso after successive data on immunity that I recently reviewed.

5/11
after all of this I really started to question the public health messaging. We all thought Sweden was crazy initially... but we have to admit now when Denmark, Norway, Finland and all of Europe is having cases go up while Sweden is flat ... maybe they got it right

🤔

6/11 ImageImageImageImage
it's okay to be wrong and change - I admit I was wrong. Initially I was scared and supported lockdown and have now changed tune - but many things prevent accepting new data and being wrong - namely ANCHORING BIAS

7/11
Another issue that’s keeping people from accepting new data besides anchoring bias is hyperbole.

People may hear me say I’m against lockdowns, but they believe it means something else
8/11
I support protected our immune-compromised, elderly

Anyone should be able to wear a mask in close proximity indoor environments

Anyone should take common sense precautions of distancing in indoor environments

We should have access to PPE for healthcare workers

9/11
The main issue for me is that I now believe that lockdowns were likely not helpful and I admit I was wrong before... I pray that I’m not wrong again but so far this is where my re-evaluation has brought me

10/11
While for me it may be easy to admit I was wrong

It may be much harder for politicians during an election year

11/end

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More from @DoctorTro

May 2
🚨 THREAD 🚨

GALLSTONES & GALLBLADDER DISEASE

Everything you need to know about gallstones as it relates to diet and dietary composition.

👇🏻👇🏻👇🏻👇🏻👇🏻
In the obese during rapid weight loss from a very low-calorie diet, a relatively high fat intake could prevent gallstone formation, probably by maintaining an adequate gallbladder emptying, which could counterbalance lithogenic mechanisms

nature.com/articles/08006…
On the basis of a meta-analysis of randomized controlled trials, during weight loss, UDCA and/or higher dietary fat content appear to prevent the formation of gallstones.

sciencedirect.com/science/articl…
Read 5 tweets
Mar 16
🔔 10 woke takes from the world of Modern Medicine in 2024 🔔

1) climate change is more important than human nutrition
2) obesity is genetic disease that requires drugs
3) obesity is healthy & should be embraced
4) diets don’t work, carbs are good, meat is bad
5) masking kids prevents death & causes no harm
6) any living thing needs 9-10 COVID shots, especially pregnant women & young children
7) COVID shots prevent long COVID & myocarditis
8) DNA & chromosomes don’t mean much, they are fluid, so is biology
9) the AMA covering the ethics of banning meat & NEJM covering climate change is more important than the diabesity epidemic
9) take drugs for every chronic disease
10) luck charms is healthier than eggs
People wanted context - lie 1

1) “Meat is unhealthy”

Meanwhile it’s associated with improved mental health, improved bone and muscle health and newer studies like that from PURE show that excluding it is bad for mortality Image
Lie 2

“Obesity is racist and it’s actually healthy”

Doctors, in an effort to be “inclusive” are ignoring the health impacts of excess adiposity
Image
Image
Read 6 tweets
Mar 14
There are 5 types of hunger that ideally should be taught to all patients with obesity

Without cultivating an awareness of appetite, hunger and cravings, a patient with obesity will not know what they are fighting against

So Let’s start!
We are going to start with some easy ones…

The Cephalic phase response aka food cues - this is hunger stimulated when in presence of food.

These signals are deeply ingrained and can be conditioned

Think of Pavlov & commercials - these aren’t going away quickly or ever
Second up is appetite triggered by Social cues to eat

our social lives, whether they are business meetings, family dinners or birthdays

Unless you are going monk mode - this cue to eat is also not going away & requires attention to manage
Read 21 tweets
Mar 7
How statisticians and researchers arrived at the conclusion that the BlueZones are a FRAUD. 🤔

🔑 Thread with key excerpts

1/n
“When these states transition to state-wide birth registration, the number of supercentenarians falls by 80% per year“

2/n
“The US data support the hypothesis that improved vital registration should reduce the number of supercentenarians, and be associated with changing patterns of old-age survival, by reducing age-coding error rates.”

3/n
Read 13 tweets
Feb 29
THREAD: 🧵

CGMs - continuous glucose monitors

Having looked at 10,000+ CGMs let me tell you what you will learn...

1/9
Lesson 1: Hidden carbs are everywhere
- you will find hidden sugar & carbs everywhere.

You didnt know you could find carbs/sugar but you will:
hotdogs, sausage, beef jerky, spices, condiments, sauces, soups, broths, basically everywhere you didnt look.

2/9
Lesson 2: consider avoiding seed oils, vegetables oils, especially from restaurants.

Patients who switch to olive oil and avocado oil & hoke cooking seem to have improvement not otherwise explainable on CGMs

3/9
Read 9 tweets
Feb 15
THREAD ALERT 🚨

I love the curious & creative thinkers, the patients who question everything, b/c answering these questions makes me a better educator & confirms my commitment to lifelong learning & shared decision-making

1/10
I don't “kick patients out” for presenting difficult questions… a cruel, yet common, practice among paternalistic/authoritarian doctors... I instead embrace the questions

I use them as an opportunity to dig deeper, understand more and understand better.

2/10
I’ve had many of the same questions that my patients have had, why should I or why would I patronize a patient for thinking logically and asking questions?

In any case, these question have led me to the primary literature...

3/10
Read 11 tweets

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